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Brudd i ryggsøylen til eldre

Brudd i ryggsøylen rammer cirka 40 prosent av kvinner over 80 år, og skyldes nesten alltid beinskjørhet. Ubehandlet vil slike smerter gå over av seg selv i løpet av noen uker.

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https://nhi.no/sykdommer/muskelskjelett/rygg-nakke-bryst/brudd-i-ryggsoylen-til-eldre/ 

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Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Vertebralt kompresjonsbrudd. Referanselisten for dette dokumentet vises nedenfor.

  1. McCarthy J, Davis A. Diagnosis and management of vertebral compression fractures. Am Fam Physician. 2016 Jul 1;94(1):44-50.
  2. Ghobrial GM. Vertebral fracture. Medscape, last updated May 02, 2014. emedicine.medscape.com 
  3. Waterloo S, Ahmed LA, Center JR, et al. Prevalence of vertebral fractures in women and men in the population-based Tromsø Study. BMC Musculoskelet Disord. 2012; 13: 3 . www.ncbi.nlm.nih.gov 
  4. Cosman F, de Beur SJ, LeBoff MS, et al.; National Osteoporosis Foundation. Clinician's guide to prevention and treatment of osteoporosis. Osteoporos Int. 2014;25(10):2359–2381.
  5. Fink HA, Milavetz DL, Palermo L, et al.; Fracture Intervention Trial Research Group. What proportion of incident radiographic vertebral deformities is clinically diagnosed and vice versa? J Bone Miner Res. 2005;20(7):1216–1222.
  6. Longo UG, Loppini M, Denaro L, Maffulli N, Denaro V. Osteoporotic vertebral fractures: current concepts of conservative care. Br Med Bull. 2012;102:171–189.
  7. Clark EM, Gooberman-Hill R, Peters TJ. Using self-reports of pain and other variables to distinguish between older women with back pain due to vertebral fractures and those with back pain due to degenerative changes. Osteoporos Int. 2016; 27(4): 1459–1467. www.ncbi.nlm.nih.gov 
  8. Baur A, Stabler A, Arbogast S, Duerr HR, Bartl R, Reiser M. Acute osteoporotic and neoplastic vertebral compression fractures: fluid sign at MR imaging. Radiology 2002;225:730-5. PubMed 
  9. Lee HM, Park SY, Lee SH, Suh SW, Hong JY. Comparative analysis of clinical outcomes in patients with osteoporotic vertebral compression fractures (OVCFs): conservative treatment versus balloon kyphoplasty. Spine J. 2012;12(11):998–1005.
  10. Barr JD, Jensen ME, Hirsch JA, et al. Position statement on percutaneous vertebral augmentation: a consensus statement developed by the Society of Interventional Radiology (SIR), American Association of Neurological Surgeons (AANS) and the Congress of Neurological Surgeons (CNS), American College of Radiology (ACR), American Society of Neuroradiology (ASNR), American Society of Spine Radiology (ASSR), Canadian Interventional Radiology Association (CIRA), and the Society of NeuroInterventional Surgery (SNIS). J Vasc Interv Radiol. 2014;25(2):171–181.
  11. Madsen OR, Andersen MØ, Sørensen LH, Egsmose C. Smertebehandling ved osteoporotiske columnafrakturer. Ugeskr Læger 2005; 167: 891-4. PubMed 
  12. Wong RKS, Wiffen PJ. Bisphosphonates for the relief of pain secondary to bone metastases. Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD002068. DOI: 10.1002/14651858.CD002068. DOI 
  13. Esses SI, McGuire R, Jenkins J, et al. The treatment of symptomatic osteoporotic spinal compression fractures. J Am Acad Orthop Surg. 2011;19(3):176–182.
  14. Malmros B, Mortensen L, Jensen MB et al. Positive effects of physiotherapy on chronic pain and performance in osteoporosis. Osteoporos Int 1998; 8: 215-21. PubMed 
  15. Kim J-H, Yi J-M, Cho H-G, et al. Comparative study of the treatment outcomes of osteoporotic compression fractures without neurologic injury using a rigid brace, a soft brace, and no brace: A prospective randomized controlled non-inferiority trial. J Bone Joint Surg Am 2014; 96: 1959. doi:10.2106/JBJS.N.00187 DOI 
  16. Predey TA, Sewall LE, Smith SJ. Percutaneous vertebroplasty: new treatment for vertebral compression fractures. Am Fam Physician 2002;66:611-5. American Family Physician 
  17. Buchbinder R, Osborne RH, Ebeling PR, et al. A randomized trial of vertebroplasty for painful osteoporotic vertebral fractures. N Engl J Med 2009; 361: 557-68. New England Journal of Medicine 
  18. Kallmes DF, Comstock BA, Heagerty PJ, et al. A randomized trial of vertebroplasty for osteoporotic spinal fractures. N Engl J Med 2009; 361: 569-79. New England Journal of Medicine 
  19. Rousing R, Hansen KL, Andersen MO, et al. Twelve-months follow-up in forty-nine patients with acute/semiacute osteoporotic vertebral fractures treated conservatively or with percutaneous vertebroplasty: a clinical randomized study. Spine 2010; 35: 478-82. PubMed 
  20. Firanescu CE, de Vries J, Lodder P, et al. Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV): randomised sham controlled clinical trial. BMJ 2018; 361: k1551. pmid:29743284 PubMed 
  21. Stevenson M, Gomersall T, Lloyd Jones M, et al. Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for the treatment of osteoporotic vertebral fractures: a systematic review and cost-effectiveness analysis. Health Technol Assess. 2014; 18:1-290. PMID: 24650687 PubMed 
  22. Sinaki M, Itoi E, Wahner HW, Wollan P, Gelzcer R, Mullan BP, et al. Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone 2002;30:836-41. PubMed 
  23. Grant AM, Avenell A, Campbell MK, et al. Oral vitamin D3 and calcium for secondary prevention of low-trauma fractures in elderly people (Randomised Evaluation of Calcium Or vitamin D, RECORD): a randomised placebo-controlled trial. Lancet 2005; 365: 1621-8. PubMed 
  24. Christoffersen H, Holmegaard SN. Undersøkelse og medicinsk behandling af ortopædkirurgiske patienter med osteoporoserelaterede lavenergifrakturer. Ugeskr Læger 2005; 167: 4454-6. PubMed 
  25. Maricic M, Adachi JD, Sarkar S, Wu W, Wong M, Harper KD. Early effects of raloxifene on clinical vertebral fractures at 12 months in postmenopausal women with osteoporosis. Arch Intern Med 2002;162:1140-3. PubMed 
  26. Zizic TM. Pharmocologic prevention of osteoporotic fractures. Am Fam Physician 2004; 70: 1293-300. American Family Physician 
  27. Wardlaw D, Cummings SR, Meirhaeghe JV, et al. Efficacy and safety of balloon kyphoplasty compared with non-surgical care for vertebral compression fracture: a randomised controlled trial . Lancet 2009; 373: 1016-24. PubMed 
  28. Klazen CAH, Lohle PNMde Vries J, et al. Vertebroplasty versus conservative treatment in acute osteporotic vertebral compression fractures (Vertos II): an open-label randomised trial. Lancet 2010; 376: 1085-92. PubMed